Active NPI
Emelyn C Quijano, MD
- Pediatrics Physician
- Forest Hills, NY
National Provider Identifier
1699793562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 115351
- Practice address
- 9610 Metropolitan Ave
Forest Hills, NY 11375-6625 - Phone
- (718) 459-0400
- Fax
- (718) 286-3863
- NPI assigned
- Jul 18, 2006
- Last updated
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 115351 | NY | Primary |
Addresses
Primary practice location
9610 Metropolitan Ave
Forest Hills, NY 11375-6625
Mailing address
441 9TH Ave
Credentialing 3Rd FL
New York, NY 10001-1623
Phone (646) 680-2894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01152689 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Long Island Medical Group, P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdvantageCare Physicians
- Internal Medicine Physician
- New York, NY
- NPI 1891732038
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1699793562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 9TH AVE",
"address_2": "CREDENTIALING 3RD FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011623",
"telephone_number": "646-680-2894",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756625",
"telephone_number": "718-459-0400",
"fax_number": "718-286-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIJANO",
"first_name": "EMELYN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "115351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01152689",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
- Queens Medical of New York LLC
- Queens Medical Pavilion,LLC (Ny Med)
- Queens Nephrology Care PC
- Queens Physical Therapy Associates LLP
- Queens Professional Medical Services of New York LLC
- Lourdes F Quijano, M.S.,CCC-SLP
- Liana Quiles
- Thalmy Y Quilit
- Millecent Hope Quinain
- Mayra Alejandra Quinones Ciprian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.